Evidence map›Paper›PMID 39959258›Full record

ArticleAEM education and training2025

The standardized letter of evaluation (SLOE) in emergency medicine: The internal validity of the SLOE 2.0.

Alexandra Mannix, Cullen B Hegarty, Sharon Bord, Thomas Beardsley, Sandra Monteiro, Alai Alvarez, Teresa Davis, Katarzyna Gore, Melissa Parsons, Aman Pandey and 2 more

Abstract read
In one paragraph

Article in AEM education and training, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Alexandra MannixDepartment of Emergency Medicine University of Florida College of Medicine Jacksonville Florida USA.ORCID https://orcid.org/0000-0002-0053-3339
Cullen B HegartyDepartment of Emergency Medicine University of Minnesota Medical School. HealthPartners Institute/Regions Hospital Emergency Medicine Residency St. Paul Minnesota USA.ORCID https://orcid.org/0000-0002-7249-8675
Sharon BordDepartment of Emergency Medicine The Johns Hopkins University School of Medicine Baltimore Maryland USA.ORCID https://orcid.org/0009-0008-5987-4139
Thomas BeardsleyDepartment of Emergency Medicine University of Florida College of Medicine Jacksonville Florida USA.
Sandra MonteiroDepartment of Medicine McMaster University Hamilton Ontario Canada.ORCID https://orcid.org/0000-0001-8723-5942
Alai AlvarezDepartment of Emergency Medicine Stanford University Stanford California USA.ORCID https://orcid.org/0000-0002-5438-2476
Teresa DavisDepartment of Emergency Medicine Rush University Medical Center Chicago Illinois USA.
Katarzyna GoreDepartment of Emergency Medicine Rush University Medical Center Chicago Illinois USA.ORCID https://orcid.org/0000-0001-5310-3327
Melissa ParsonsDepartment of Emergency Medicine University of Florida College of Medicine Jacksonville Florida USA.ORCID https://orcid.org/0000-0001-6598-5224
Aman PandeyDepartment of Emergency Medicine University of Florida College of Medicine Jacksonville Florida USA.
Sara M KrzyzaniakDepartment of Emergency Medicine Stanford University Stanford California USA.ORCID https://orcid.org/0000-0002-8173-2750
Michael GottliebDepartment of Emergency Medicine Rush University Medical Center Chicago Illinois USA.ORCID https://orcid.org/0000-0003-3276-8375

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The standardized letter of evaluation (SLOE) is a crucial component of emergency medicine (EM) residency applications. Initially developed in 1995 and revised to electronic SLOE (eSLOE) 2.0, this tool aims to provide a standardized evaluation of medical students. Objective: This study aimed to conduct internal validation by analyzing the distribution and correlation of scores in eSLOE 2.0 and identify any ranking skew. Methods: A multi-institutional cross-sectional study conducted using eSLOE 2.0 data from applicants to five geographically diverse U.S. EM residency programs during the 2022-2023 application cycle. Data from 2891 eSLOE 2.0 s across 1633 applicants were analyzed using descriptive statistics, chi-square, and Spearman's rho. Results: Scores for all questions were moderately left-skewed. The mean scores for all part B questions were above 4.0. Strong correlations were found between part A and B scores with anticipated guidance (AG) and rank list (RL) positions. The AG had a higher correlation with RL positions than grades. The mean RL score indicated that the average student fell between the middle and top thirds. Conclusions: The study demonstrates left skew in eSLOE 2.0 scoring, including a higher prevalence of scores in the fully and mostly entrustable ranges for part A and the consistently high scores in part B.

Indexed as

eSLOE 2.0gradesletters of recommendationrank liststandardized letters of evaluation (SLOE)

Identifiers

PMID39959258
PMCPMC11828695

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.